Active NPI
Kathy L Lightner, FNP-C
- Family Nurse Practitioner
- Rochester, NY
National Provider Identifier
1467764456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 336305
- Practice address
- 1850 E Ridge Rd
Ste 1
Rochester, NY 14622-2475 - Phone
- (585) 342-3870
- Fax
- (585) 342-7938
- NPI assigned
- Jul 8, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 336305 | NY | Primary |
Addresses
Primary practice location
1850 E Ridge Rd
Ste 1
Rochester, NY 14622-2475
Mailing address
1850 E Ridge Rd
Ste 1
Rochester, NY 14622-2475
Phone (315) 462-3553
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urban Family Practice PC | Family | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/10568/brand/1/csg/1/fhir/r4
- kathy.lightner@cinq-nyipa.medentdirect.com
- kathy.lightner.1@10568.direct.athenahealth.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626307200000",
"number": "1467764456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1850 E RIDGE RD",
"address_2": "STE 1",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146222475",
"telephone_number": "315-462-3553",
"fax_number": "315-462-3104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 E RIDGE RD",
"address_2": "STE 1",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146222475",
"telephone_number": "585-342-3870",
"fax_number": "585-342-7938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIGHTNER",
"first_name": "KATHY",
"middle_name": "L",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-08",
"last_updated": "2021-07-15",
"certification_date": "2021-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "336305",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.